Individual
JASMYNE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
3110 1ST AVENUE NORTH, SUITE 2M #1099, ST PETERSBURG, FL 33713
(813) 644-2435
Mailing address
3110 1ST AVENUE NORTH, SUITE 2M #1099, ST PETERSBURG, FL 33713
(813) 644-2435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126347300
—
FL
Enumeration date
03/01/2025
Last updated
05/26/2025
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